Behavioral Health Coding Specialist - PRN

New Vista Behavioral Health; United States; Remote; USD 29,000 - 34,000; Full time

Job summary

New Vista Behavioral Health is seeking a PRN Corporate Coding Specialist in Cincinnati, OH to review and assign ICD-10-CM, CPT, HCPCS codes for behavioral health services. You’ll ensure documentation supports billed services and maintain compliance with coding guidelines.

You will collaborate with clinical and revenue-cycle teams to resolve discrepancies, conduct coding audits, and support timely reimbursement. Requires 21+ and prior behavioral health coding experience.

Qualifications

• High school diploma or equivalent.
• Must be 21 or older.
• Previous medical coding experience, preferably in behavioral health, mental health, substance use, or another healthcare setting.
• Knowledge of ICD-10-CM and CPT coding principles.
• Understanding of medical terminology and clinical documentation.
• Strong attention to detail and ability to identify discrepancies in complex records.
• Ability to maintain confidentiality and handle protected health information appropriately.
• Strong organizational, analytical, and communication skills.
• Proficiency with electronic medical records and computer applications.

Responsibilities

• Review medical records and clinical documentation to determine appropriate diagnosis and procedure codes.
• Assign ICD-10-CM, CPT, HCPCS, and other applicable codes based on documented services.
• Ensure codes accurately reflect the patient's documented diagnoses, services provided, and level of care.
• Review documentation for completeness, accuracy, medical necessity, and coding compliance.
• Identify coding discrepancies, missing documentation, and potential billing issues and communicate findings to appropriate personnel.
• Apply current behavioral health coding guidelines, payer requirements, and organizational coding policies.
• Assist with coding-related denials, audits, appeals, and reimbursement inquiries as assigned.
• Conduct coding audits and quality reviews to identify trends, errors, and opportunities for improvement.
• Maintain confidentiality of protected health information in accordance with HIPAA and organizational policies.
• Collaborate with clinical and revenue-cycle teams to clarify documentation and coding questions.
• Maintain current knowledge of changes to ICD-10-CM, CPT, HCPCS, payer requirements, and behavioral health billing practices.
• Assist with special coding, auditing, and revenue-cycle projects as assigned.
• Meet established productivity, accuracy, and turnaround-time standards.
• Perform other duties consistent with the position and organizational needs.

Skills

Attention to detail

Analytical skills

Communication skills

Organizational skills

Education

High school diploma or equivalent

Job description

New Vista Behavioral Health is seeking a PRN Corporate Coding Specialist in Cincinnati, OH to review and assign ICD-10-CM, CPT, HCPCS codes for behavioral health services. You’ll ensure documentation supports billed services and maintain compliance with coding guidelines.

You will collaborate with clinical and revenue-cycle teams to resolve discrepancies, conduct coding audits, and support timely reimbursement. Requires 21+ and prior behavioral health coding experience.